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www.ci.roseville.rnn.us. <br />City of Roseville* 2660 Civic Center Drive & Roseville MN 55113 <br />Phone: 651.792.7001 * Fax: 651.792.7030 <br />Application for en Advisory omm"is <br />Please check commission applying or: <br />❑ Ethics Commission <br />❑ Grass Lakes Water Management Organization <br />❑ Human Rights Commission <br />❑ Park and Recreation Commission <br />,ff Planning Commission <br />❑ Police Civil Service Commission <br />❑ Public Works, Environment and Transportation Commission <br />17 Community Committee/Task Force (name) <br />Name: J%0VId—A <br />CilStateip: t. Pt- f f <br />Work Experience: <br />Education: <br />Civic and Volunteer Activities: (Past and Present) <br />Please state your reasons for wanting to serve on the CommissionlCommitteeff ask Force: <br />(Be as speck as possible - use additional sheet if necessary) <br />